Provider Demographics
NPI:1144589573
Name:THOMAS L DAVIES MD PA
Entity Type:Organization
Organization Name:THOMAS L DAVIES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-461-8932
Mailing Address - Street 1:8762 LONG POINT RD STE 101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-3016
Mailing Address - Country:US
Mailing Address - Phone:713-461-8932
Mailing Address - Fax:713-461-8946
Practice Address - Street 1:8762 LONG POINT RD STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-3016
Practice Address - Country:US
Practice Address - Phone:713-461-8932
Practice Address - Fax:713-461-8946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9597174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty